Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $3,981.07 / $8,317.64	Facility		$281.84	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $93.33 / $213.80	Professional		$33.11	$93.33	$213.80
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $131.83 / $177.83	Professional		$104.71	$131.83	$177.83
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $100.00 / $158.49 / $177.83	Professional	50	$100.00	$158.49	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $74.13 / $151.36	Professional		$35.48	$74.13	$151.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $70.79 / $169.82	Professional		$19.05	$70.79	$169.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $104.71 / $165.96	Professional		$48.98	$104.71	$165.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $891.25 / $1,148.15	Facility		$199.53	$891.25	$1,148.15
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $102.33 / $107.15	Professional		$74.13	$102.33	$107.15
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $50.12 / $100.00	Professional		$42.66	$50.12	$100.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $3,981.07 / $8,317.64	Facility		$588.84	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $72.44 / $147.91	Professional		$33.11	$72.44	$147.91
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $169.82 / $398.11	Professional		$69.18	$169.82	$398.11
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $63.10 / $107.15	Facility		$28.18	$63.10	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $54.95 / $102.33	Professional		$16.22	$54.95	$102.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $616.60 / $3,890.45	Facility		$316.23	$616.60	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $69.18 / $144.54	Professional		$34.67	$69.18	$144.54

Pennsylvania rates for HCPCS 11305